Doctor Name: | MRS. DORITZA ESCOBAR |
NPI Number: | 1174814982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | 1407 |
Business Practice Address: | Urb. Vistas De Camuy G-7 Camuy, P.r. 00627 Camuy, PR - 00627 |
Business Phone Number: | 7874043871 |
Business Fax Number: | |
Mailing Address: | Urb. Vistas De Camuy G-7 Camuy, P.r. 00627, CAMUY |
State: | PR |
Postal Code: | 00627 |
Phone Number: | 7874043871 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 1407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |